Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
C HO STATIC HAND/ONLY LT
Pasadena, TX
See all hospitals reporting HCPCS L3919 →Price type
Pmc Hospital, Llc’s median price of $121 is 60% below the median hospital's median price ($306), higher than 5% of the 1,211 hospitals reporting HCPCS L3919. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 36 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $78 | $78 | $5 | 7% | — | $73 – $84 |
| 2 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $82 | $82 | $6 | 7% | — | $76 – $88 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $82 | $82 | $6 | 7% | — | $76 – $88 |
| 4 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $89 | $89 | $6 | 7% | — | $83 – $96 |
| 5 | Blue Cross Blue Shield commercial|blue premier fee schedule · inpatient | $93 | $93 | $6 | 7% | — | $87 – $99 |
| 6 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $97 | $97 | $7 | 7% | — | $90 – $103 |
| 7 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $97 | $97 | $7 | 7% | — | $90 – $103 |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $101 | $101 | $7 | 7% | — | $94 – $107 |
| 9 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $104 | $104 | $7 | 7% | — | $97 – $111 |
| 10 | UnitedHealthcare commercial|charter fee schedule · outpatient | $104 | $104 | $7 | 7% | — | $97 – $111 |
| 11 | Blue Cross Blue Shield commercial|hmo fee schedule · inpatient | $108 | $108 | $7 | 7% | — | $100 – $115 |
| 12 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 13 | Cigna commercial|hmo fee schedule · inpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 14 | Cigna commercial|hmo fee schedule · outpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 15 | Cigna commercial|ppo fee schedule · inpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 17 | Cigna commercial|surefit fee schedule · inpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 18 | Cigna commercial|surefit fee schedule · outpatient | $112 | $112 | $8 | 7% | — | $104 – $119 |
| 19 | Blue Cross Blue Shield commercial|ppo fee schedule · inpatient | $115 | $115 | $8 | 7% | — | $107 – $123 |
| 20 | UnitedHealthcare commercial|charter fee schedule · inpatient | $115 | $115 | $8 | 7% | — | $107 – $123 |
| 21 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $115 | $115 | $8 | 7% | — | $107 – $123 |
| 22 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $115 | $115 | $8 | 7% | — | $107 – $123 |
| 23 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $130 | $130 | $9 | 7% | — | $121 – $139 |
| 24 | UnitedHealthcare commercial|ppo fee schedule · inpatient | $130 | $130 | $9 | 7% | — | $121 – $139 |
| 25 | Humana commercial|hmo fee schedule · inpatient | $156 | $156 | $11 | 7% | — | $146 – $167 |
Last updated: Feb 28, 2026
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